Answer this question truthfully
### Question: Who is at risk for hiatus hernia?
### Response: Old people: Muscle weakening and loss of elasticity as people age. Pregnacy: Intra-abdominal forces exerted in pregnancy. Persistent and intense pressure on the surrounding muscles, such as when coughing, vomiting, or straining during a bowel movement or while lifting heavy objects Chronic constipation Western, fiber-depleted diet Obesity Chronic esophagitis Abdominal ascites